KENNETH BOOCKVAR MD
Individual Provider (NPI-1)
Active
Internal Medicine, Geriatric Medicine
Provider Information
- NPI Number
1497723845- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 619 19TH ST S, BIRMINGHAM, AL, 352496508
- Phone
- (205) 731-9701
Specialties & Taxonomies
Family Medicine, Geriatric Medicine
License: AL #45113
Internal Medicine, Geriatric Medicine
License: NY #1967511
Internal Medicine, Geriatric Medicine
Primary License: AL #45113